Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,000.00	Professional		$501.19	$660.69	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,238.72 / $2,818.38	Professional		$891.25	$2,238.72	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $891.25 / $1,318.26	Facility		$707.95	$891.25	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,288.25	Professional		$870.96	$954.99	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,174.90	Facility		$933.25	$1,071.52	$1,174.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,174.90	Professional		$1,047.13	$1,174.90	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $1,513.56	Facility		$588.84	$977.24	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,023.29 / $1,258.93	Professional		$87.10	$1,023.29	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,659.59 / $4,466.84	Facility		$977.24	$1,659.59	$4,466.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $1,318.26	Professional		$1,202.26	$1,318.26	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $794.33 / $2,290.87	Facility		$512.86	$794.33	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $1,000.00	Professional		$467.74	$524.81	$1,000.00